Koppu, Kishori

Koppu, Kishori is an individual health care provider with primary practice located at 278 Oak St , Shrewsbury MA 01545-4332. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Koppu, Kishori can be contacted via phone (774) 534-8296.

Contact Information

Primary practice address
278 Oak St Shrewsbury MA 01545-4332
Phone: (774) 534-8296
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH239171 Massachusetts
Pharmacy Service Providers / Pharmacist 183500000X RP454022 Pennsylvania

Profile Details

NPI number 1316580012
LBN Legal business name Koppu, Kishori
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2019
Last updated Oct 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316580012 NPPES
Other NA N/A

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